China isigaba 2b unyango umhlaza wemiphunga

Ukuqonda kunye nokuHamba kwiSigaba se-2B soNyango loMhlaza weLung e-China

Esi sikhokelo sibanzi siphonononga ubunzima be China isigaba 2b unyango umhlaza wemiphunga, ukubonelela ngolwazi malunga nokuxilongwa, ukhetho lonyango, kunye nokunakekelwa kwenkxaso ekhoyo ngaphakathi kweChina. Siphengulula kwiindlela ezahlukeneyo zonyango, sichaza ukusebenza kwazo kunye neziphumo ebezingalindelekanga ezinokwenzeka. Funda ngokubaluleka kokufuna iingcebiso zengcali zonyango kunye nokujonga inkqubo yokhathalelo lwempilo eTshayina ngeziphumo ezizezona zilungileyo.

Ukuxilongwa kweSigaba 2B soMhlaza weMiphunga

Ukuqonda iNkqubo yeStaging

Iqonga elichanekileyo libalulekile ekumiseleni eyona ndlela ilungileyo yokwenza China isigaba 2b unyango umhlaza wemiphunga. Inqanaba lesi-2B lomhlaza wemiphunga libonisa ukuba ithumba likhulu kuneSigaba 2A kwaye kusenokwenzeka ukuba lisasazeke kwii-lymph nodes ezikufutshane. Kusetyenziswa iindlela ezahlukahlukeneyo zokuxilonga, kuquka iCT scans, iPET scans, nebiopsies, ukuze kubonwe inqanaba elichanileyo nobungakanani bomhlaza. Ukuxilongwa kwangoko kunye nokuchanekileyo kubalulekile ekuphuculeni amazinga empumelelo yonyango.

Iimvavanyo eziphambili zokuHlola

Iimvavanyo ezininzi zibalulekile ekufumaniseni umhlaza wemiphunga kunye nokumisela inqanaba lawo. Ezi ziquka:

• X-reyi yesifuba
• I-Computed Tomography (CT) scan
• I-Positron Emission Tomography (PET) iskena
• Ibronchoscopy
• I-Biopsy (uvavanyo lwesampulu yezicubu)

Iziphumo zolu vavanyo zibonelela ngomfanekiso oneenkcukacha zobungakanani bethumba, indawo, kunye nokusasazeka, ekhokelela ekukhetheni iindlela ezifanelekileyo zonyango China isigaba 2b unyango umhlaza wemiphunga.

IiKhetho zoNyango lweSigaba se-2B soMhlaza weMiphunga e-China

Utyando

Utyando, oluhlala lubandakanya i-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga wonke), lukhetho oluqhelekileyo lokunyanga China isigaba 2b unyango umhlaza wemiphunga, ngakumbi kwizigulana ezinamathumba asebenzayo. Ukuba nokwenzeka kotyando kuxhomekeke kwizinto eziliqela, kuquka impilo yesigulane ngokubanzi kunye nendawo kunye nobukhulu bethumba. Ubuchwephesha obuncinci botyando busetyenziswa kakhulu ukunciphisa ixesha lokubuyisela kunye neengxaki.

Unyango ngamachiza

I-Chemotherapy, esebenzisa amayeza okubulala iiseli zomhlaza, inokunikezelwa phambi kotyando (neoadjuvant chemotherapy) ukunciphisa ithumba okanye emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda. Ukukhethwa kwamachiza echemotherapy kunye nerejimeni yonyango ilungiselelwe iimpawu zesigulana ngasinye kunye nohlobo oluthile lomhlaza wemiphunga.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukutshabalalisa iiseli zomhlaza. Ingasetyenziswa yodwa okanye idityaniswe noqhaqho okanye ichemotherapy China isigaba 2b unyango umhlaza wemiphunga. Unyango lwemitha yangaphandle lusetyenziswa ngokuqhelekileyo, ukuhambisa imitha kumatshini ongaphandle komzimba. Unyango lwemitha yemitha ye-stereotactic (SBRT) luhlobo oluchane kakhulu lonyango lwemitha olunikezela ngethamo eliphezulu lemitha yemitha kwithumba kwiiseshini ezimbalwa. Ukufaneleka konyango lwemitha kuxhomekeke kwindawo kunye nobukhulu bethumba.

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa umonakalo kwiiseli eziphilileyo. Olu nyango lusebenza ngokukodwa kwiindidi ezithile zomhlaza wemiphunga ezinotshintsho oluthile lwemfuza. Ubukho kunye nokufaneleka kwezonyango ezijoliswe kuzo kuxhomekeke kwiprofayili ethile yemfuza yethumba.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukuze alwe neeseli zomhlaza. Olu nyango lusetyenziswa kakhulu kumhlaza wemiphunga kwaye lunokusebenza kwizigulana ezinomhlaza ongaphenduliyo kolunye unyango. I-immunotherapy ethile esetyenziswayo iya kuxhomekeka kwiimeko zesigulana kunye nohlobo lomhlaza wemiphunga.

Ukhathalelo lweNkxaso kunye neZibonelelo

Ukhathalelo olubanzi lwenkxaso lubalulekile kulo lonke China isigaba 2b unyango umhlaza wemiphunga uhambo. Oku kuquka ukulawula intlungu, ukudinwa, kunye nezinye iziphumo ebezingalindelekanga zonyango. Inkxaso yesondlo, ukucetyiswa kwengqondo, kunye neenkonzo zokubuyisela kwimo yesiqhelo nazo ziyimiba ebalulekileyo yokhathalelo oluxhasayo.

Ukukhetha iZiko loNyango oluLungileyo eTshayina

Ukukhetha iziko lezonyango elithembekileyo nelinamava kubaluleke kakhulu ukuze uphumelele China isigaba 2b unyango umhlaza wemiphunga. Uphando olunzulu, ukuqwalasela ubuchule beqela lezonyango, ukufumaneka kobuchwepheshe obuphezulu, kunye nokuhlolwa kwezigulane, kubalulekile. IZiko loPhando ngoMhlaza laseShandong Baofa ngomnye umzekelo weziko eliphambili elizinikele ekuboneleleni ngokhathalelo lomhlaza olukumgangatho ophezulu, olunikezela ngonyango olukumgangatho ophezulu kunye nokhathalelo oluphakathi kwesigulana.

I-Prognosis kunye neNgcaciso yexesha elide

I-prognosis yenqanaba le-2B umhlaza wemiphunga iyahluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa impilo yonke yesigulana, uhlobo kunye neempawu zethumba, kunye nempendulo kunyango. Ukuxilongwa kwangaphambili kunye nonyango oluqatha luphucula amathuba eziphumo eziyimpumelelo. Ukuqeshwa okulandelwa rhoqo emva kokuba unyango luyimfuneko ekubekeni iliso ukuphindaphinda kunye nokulawula nayiphi na imiphumo yexesha elide.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yezempilo eqeqeshiweyo yokuxilongwa kunye nengcebiso zonyango.